SI DYSFUNCTION

January 12, 2014

Sirak asked The Guru for the following Physiotherapy Advice:

hello ive been injured for a year now with low back pain which has progressed to upper back pain and neck pain i am a footballer for the last 3 months ive done core work with my phsyio and the groin pain is gone but the back pain is still there what shall i do

Sirak
January 12, 2014

Hi Sirak

Well it sounds from you’ve described that you either don’t have an SIJ problem or the Physio you’ve been seeing does understand what’s the cause of your problem.

Lone SIJ problems are as rare as hens teeth. Instead SIJ pain is most likely secondary to an unstable low lumbar spine which is because of a stiff thoracic spine – this pretty much mirrors your symptoms.

Unless the stiff bits are made to move better its impossible to gain core stability – no matter how hard you try you’ll develop core rigidity, which is no help to man nor beast!

You need someone to move your thoracic spine and show you how to stabilise (not stiffen) your lumbar spine.

Jump ship?

The Guru

Six Physio

Guru Responded

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